Baron Bonanza Pilot Training | Register for a Clinic

Name*

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Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Daytime Phone*

Cell Phone

Sharing your cell phone number with us is important as it may help us communicate with you during a Clinic

Clinic Information

Clinic Location - Date*

Select the clinic you will attend. Fly local means to schedule a half-day flight with a BPT Instructor at a later date at your location. You are responsible for the Instructor’s travel expenses. If the clinic is less than a week from now, please call 970-206-0182 to register.

How many BPT (or similar) weekend clinics have you previously attended?

Please enter a number from 0 to 30.

Pilot Registration for Hybrid Clinic*

Full Course: Virtual Ground School + Flying $1,195
Virtual Ground School Only $500

Aircraft Information

Aircraft Type

Aircraft N#*

Year aircraft built

Dual Controls?*

Yes - dual control yoke
No - single control yoke

Turbocharged/Turbonormalized?

Yes

Allison Turboprop?

Yes

What GPS, Autopilot, MFD or other special equipment does your aircraft have?

Are you sharing an aircraft with another attendee? If so please provide his/her name

Please answer the following questions about your flight time

Estimated total time*

Bonanza time

Baron/Travel Air/Duchess time

Duke time

Are you instrument rated?*

Yes
No

Pilot Certificate Number*

Insurance & Documents we must receive from you before your flight

Insurance Certificate naming BPT Inc. as an additional insured
Sign, date and return the Hold Harmless document

The above should be sent to our insurance manager:

Pam Bailey
Email: registrar@pbpt.org

On the day of your flight you will complete a PIC Statement

Cancellation Policy

Your fee is non-refundable. If you are unable to view the Online Ground School when scheduled, you may watch the recorded video at a later date. If you cannot fly at the assigned time, you will have one year to complete a flight.

Grand Total

$0.00

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Hybrid Clinic Registration

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Spring 2021 Clinic Registration Form

Clinic Information

Aircraft Information

Please answer the following questions about your flight time

Insurance & Documents we must receive from you before your flight

Cancellation Policy